HERITAGE HEALTH - MINONK
NPI 1750372801
Skilled Nursing Facility in Minonk, IL

Active since October 28, 2005
201 LOCUST ST, MINONK, IL 61760(309) 432-2557(309) 432-3330 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Health - Minonk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE HEALTH - MINONK (NPI 1750372801) is a healthcare organization registered as a skilled nursing facility in Minonk, Illinois and active in the NPI registry since October 2005. The organization lists David M Underwood, Sr. V.p. & Cfo, as its authorized official.

NPPES Registry Identity

NPI1750372801
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE MANOR MINONK, LLC
Location Address201 LOCUST STMinonk, IL 61760-1511
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-9512
Fax(309) 432-3330
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodSr. V.p. & Cfo · (309) 823-7135
Enumeration DateOctober 28, 2005
Last NPPES UpdateJune 12, 2014
NPI 1750372801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 48058
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
201 LOCUST ST, Minonk, IL 61760

Other Names 1

Doing Business AsHeritage Health - Minonk

Other Identifiers 2

Medicare OSCAR/certification145744IL
Medicaid=========001IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
201 LOCUST ST
MINONK, IL 61760
Physical Therapy Assistant
201 LOCUST ST
MINONK, IL 61760
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
201 LOCUST ST
MINONK, IL 61760
Occupational Therapy Assistant
201 LOCUST ST
MINONK, IL 61760
Physical Medicine & Rehabilitation
201 LOCUST ST
MINONK, IL 61760
Occupational Therapy Assistant
201 LOCUST ST
MINONK, IL 61760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Manor Minonk, LLC's NPI number?

The NPI number for Heritage Manor Minonk, LLC is 1750372801. It was assigned to this organization in the NPPES registry on October 28, 2005. The provider is doing business as Heritage Health - Minonk.

Where is Heritage Manor Minonk, LLC located?

Heritage Manor Minonk, LLC is located at 201 Locust St, Minonk, IL 61760. The listed phone number is (309) 432-2557.

What is Heritage Manor Minonk, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Heritage Manor Minonk, LLC was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.